Individual provider Active NPI

Karina Moreno Munoz, COTA/L

  • Occupational Therapy Assistant
  • Davie, FL
National Provider Identifier
1962042341
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
17599 Issued in FL
Practice address
7336 SW 25TH CT
Davie, FL 33317-7009
Phone
(954) 380-2961
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X 17599 FL Primary

Addresses

Primary practice location

7336 SW 25TH CT
Davie, FL 33317-7009

Mailing address

7336 SW 25TH CT
Davie, FL 33317-7009

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kaiserOTservices.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17599FLMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1962042341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 SW 25TH CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7336 SW 25TH CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333177009",
            "telephone_number": "954-380-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO MUNOZ",
        "first_name": "KARINA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kaiserOTservices.com",
            "affiliation": "N",
            "address_1": "7336 SW 25th Ct",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333177009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.